基于ICU应急救治团队主导体外膜肺氧合支持下的院内安全转运的应用效果  

Application effect of safe transportation within the hospital with extracorporeal membrane oxygenation support led by ICU emergency rescue team

作　　者：金静洁 王徐赢 胡珍珍 JIN Jingjie;WANG Xuying;HU Zhenzhen(Department of Critical Care Medicine,Wenzhou Central Hospital,Zhejiang Province,Wenzhou 325000,China)

机构地区：[1]浙江省温州市中心医院重症医学科,浙江温州325000

出　　处：《中国医药导报》2024年第16期52-55,共4页China Medical Herald

基　　金：浙江省卫生健康科技计划项目(2021KY1223);浙江省温州市基础性公益科研项目(Y20220569)。

摘　　要：目的分析基于重症监护病房(ICU)应急救治团队主导体外膜肺氧合支持下的院内安全转运的应用效果。方法选取2022年2月至2023年6月浙江省温州市中心医院体外膜肺氧合支持下的院内安全转运患者92例及其家属92名为研究对象,按照随机数字表法将其分为对照组(46例)和试验组(46例)。对照组实施常规转运,试验组由ICU应急救治团队实施转运。比较两组生命体征、不良事件发生率、家属满意度。结果转运后,两组血氧饱和度低于转运前,且试验组高于对照组,差异有统计学意义(P<0.05)。两组心率、呼吸频率高于转运前,试验组低于对照组,差异有统计学意义(P<0.05)。试验组不良事件总发生率低于对照组,差异有统计学意义(P<0.05)。试验组家属满意度高于对照组,差异有统计学意义(P<0.05)。结论ICU应急救治团队实施体外膜肺氧合支持下的院内安全转运可减少患者生命体征波动,降低不良事件发生率,提高家属满意度。Objective To analyze the application of safe transportation within the hospital with extracorporeal membrane oxygenation support led by intensive care unit(ICU)emergency rescue team.Methods A total of 92 patients and their families who were safe transportation within the hospital with extracorporeal membrane oxygenation support from Wenzhou Central Hospital,Zhejiang Province from February 2022 to June 2023 were selected as study objects,according to random number table method,they were divided into control group(46 cases)and experimental group(46 cases).The control group was carried out routine transport,and the experimental group was carried out by the ICU emergency treatment team.The vital signs,incidence of adverse events,and family satisfaction were compared between the two groups.Results After transport,the blood oxygen saturation of the two groups was lower than before transport,while the experimental group was higher than the control group,and the differences were statistically significant(P<0.05).The heart rate and respiratory rate of the two groups were higher than before transport,while the experimental group was lower than the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).Family satisfaction of experimental group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of safe in-hospital transport supported by extracorporeal membrane oxygenation by the ICU emergency treatment team can reduce the fluctuation of patients’vital signs,reduce the incidence of adverse events,and have high family satisfaction.

关 键 词：重症监护病房应急救治团队 体外膜肺氧合 院内安全转运 生命体征 

分 类 号：R605.97[医药卫生—急诊医学]